I'm not sure where I should post this, so forgive if its incorrect. I know I have posted here my RSD concerns and everyone has been so helpful.
Background - TKR 12/07 due to osteoarthritis - RSD diagnosed on knee 3/08, manipulation 4/08 for lack of motion - no help. Open debridement of knee 11/08 for adhesions and excessive "fat pad". Still am at only 70 flex, 20 extension. In 5/09 - diagnosed with MS and Ankylosing Spondylitis (form of arthritis to spine).
** Here is where I need your advice! I requested my med records as I am looking for new ortho dr. as the one who did surgery stated he does not know what else to do - must be the RSD. Going over my records I found a Xray report done in hospital during 11/08 operation. During this stay in the hospital, I fell the day after the open debridement and they took xrays and said all was well. In looking at this Xray report of this time, I can't believe what I read. It states that : "there is an ossified density inferior to the patella which was not seen on an prior xray compared with of 4/4/08". It states "It is unclear wheather this represents heterotopic ossification versus a small avulsion fracture." My dr just stated everything was fine after the fall and that is what was written in the main hospital report. No statement of a possible fracture or anything else! My main concern (besides being totally upset at this dr) is if it is the heterotopic ossification of the knee and this is what is making me not be able to move my knee. I have been going from dr to dr and they all state it must be from the RSD - but I keep telling them it feels like something else. I have the swelling, redness and warmth from the knee. Iknow RSD can do the same, but my range of motion is going downhill fast and I keep falling now. My RSD pain is so different - and is on the other side of my knee where I feel different. Who do I go to ??? My neurologist, rheumetalogist and pain dr are all with the same hospital my prior orth is with that did the surgery. Do I trust one of them to go see? Or do I find another ortho I don't know and try my luck? I am so upset by this. Please, I need your input and advice on this as I am so dumbfounded and not sure what to do - but know I need to see someone! Thanks!